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The Enamel Paint Sign in the Dermatologic Diagnosis of Early-Onset Kwashiorkor
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Kwashiorkor is the result of severe protein-energy malnutrition. The median age of onset is about 2 years.1 Protein-energy malnutrition, the most widespread nutritional deficiency disorder of mankind, is a group of related disorders.2 Kwashiorkor and marasmus represent extreme forms of protein-energy malnutrition and are common in children of Third World nations, but are rare in the United States. Marasmus differs from kwashiorkor in that there is an absence of edema and characteristic cutaneous findings. We describe a 5-month-old infant with the enamel paint sign that helped diagnose unsuspected kwashiorkor.
Report of a Case
A 5-month-old Hispanic female infant presented with a 3-week history of a rash that started as dark red macules and papules, progressed to more confluent erythema, and was followed by dark, patchy desquamation of the skin. Other symptoms included extreme irritability, mild vomiting, and diarrhea. Her medications included 0.025% fluocinolone acetonide cream and mupirocin ointment for the rash and oral nystatin . . . [Full Text of this Article]
Comment
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Kwashiorkor in the United States: Fad Diets, Perceived and True Milk Allergy, and Nutritional Ignorance
Liu et al.
Arch Dermatol 2001;137:630-636.
ABSTRACT
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Early Diagnosis of Kwashiorkor
Journal Watch Dermatology 1998;1998:5-5.
FULL TEXT
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